Rehabilitation of patients with ischemic heart disease
Authors:
V. Chaloupka
Authors place of work:
IKK FN Brno-Bohunice
Published in the journal:
Kardiol Rev Int Med 2009, 11(2): 58-62
Summary
Rehabilitation of patients with ischemic heart disease. Rehabilitation represents an inseparable part of a comprehensive treatment of patients with ischemic heart disease. Enabling the patients to return to work and leisure activities to the maximum extent possible is one of the main aims of rehabilitation. While aerobic training activities form the basis of physical exercise, resistance exercises are also commonly included. Originally, the focus was on post‑MI and revascularization patients. Rehabilitation of these patients has become an integral part of comprehensive care in many countries. Recent meta‑analysis has shown significant 27% reduction of overall and 31% reduction of cardiovascular mortality. However, the attention gradually refocuses on other patients too: older patients with a range of other pathologies, i.e. a highly important issue with respect to the aging population, patients after heart defect surgery as well as patients at high risk, including patients with heart failure. It is these patients who might benefit most from the improvement of stress tolerance and aerobic capacity. The mechanisms by which physical activity and fitness decrease mortality have not yet been fully elucidated; they are linked to risk factors reduction. However, the effect of physical exercise is an independent factor in mortality reduction.
Keywords:
rehabilitation – ischemic heart disease – heart failure – myocardial infarction – cardiovascular mortality
Zdroje
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Štítky
Paediatric cardiology Internal medicine Cardiac surgery CardiologyČlánok vyšiel v časopise
Cardiology Review
2009 Číslo 2
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